Abstract
PurposeObstetric anal sphincter injury is one of the most common complications during delivery. Simulation models with manikins can be used as an effective medical learning method to improve students’ abilities before encountering patients. The present study aimed to describe the development of an anal sphincter injury model and to assess residents’ satisfaction and self-confidence after a perineal repair workshop with an anal sphincter injury simulator in Indonesia.MethodsThis was a cross-sectional study with evaluation of outcomes before and after the workshop. We created a silicone-latex simulation anal sphincter injury model. Then, we validated this simulation and used it as a simulation model for the workshop. We asked residents about their satisfaction with repairing anal sphincter injuries using a simulation model and residents’ self-confidence when practicing anal sphincter injury repair.ResultsAll residents felt the simulation-based workshop was valuable (100%). Most of the scores for the similarity of the simulation model were good (about 8 out of maximum 10). The self-assessment of confidence was measured before and after the workshop. Overall self-confidence increased significantly after the workshop in identifying the external sphincter ani (EAS) (P=0.031), suturing the anal mucosa (P=0.001), suturing the internal sphincter ani (P=0.001), suturing the EAS (P<0.001), and evaluating the sphincter ani tone (P=0.016).ConclusionThe anal sphincter injury simulator improved residents’ self-confidence in identifying the EAS, suturing the anal mucosa, suturing the internal sphincter ani, suturing the EAS, and evaluating sphincter ani tone.
Highlights
Background/rationale Obstetric anal sphincter injury, a 3rd- and 4th-degree injury, is one of the most common complications during delivery
The purpose of this study is to describe the development of a new silicone-latex anal sphincter injury model, which can be a pilot model for understanding the anatomical details of the perineum
This study presents an assessment of residents’ satisfaction and self-confidence before and after the perineal repair workshop with the silicone-latex anal sphincter injury simulator
Summary
Background/rationale Obstetric anal sphincter injury, a 3rd- and 4th-degree injury, is one of the most common complications during delivery. It is clinically diagnosed in 11% of women who deliver vaginally [1]. 2022 Korea Health Personnel Licensing Examination Institute Simulation models with manikins can be used as an effective medical learning method to improve students’ abilities before encountering patients. Using simulators with repetitions can be a good way of learning skills and does not harm the patient
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